| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $398.11 | $398.11 | $398.11 |
Peritoneal Dialysis Outpatient or Home-Support Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $398.11 | $398.11 | $398.11 |